College Center for Advising Services

Readmission for Degree

Application Form

A copy of this form will be sent to the College Center for Advising Services.

This form is intended for undergraduates who do not plan to return the University, but complete course requirements at another college or university.

* This field intentionally left blank. Do not enter text.

*For graduation in the class of

*Name

*Student ID #

*Street Address

*City

*State

*Zip Code

*Phone

*Email

*Institution(s) attended since leaving the University of Rochester

*Original Class Year

*Original Department

*In addition, I agree to submit a check in the amount of $25.00 made payable to the University of Rochester; and to complete all outstanding work, and submit an official transcript and course descriptions (if applicable), so that I may receive my degree with the class specified above.